Permit (38) CITY OF TIGARD BUILDING PERMIT
I • COMMUNITY DEVELOPMENT 1 Permit#: BUP2014-00234
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 �n�� Date Issued: 11/12/2014
Parcel: 2S113AB00800
Jurisdiction: Tigard
Site address: 15995 SW 74TH AVE 100
Project: Duncan-Dowdle Building Subdivision:COUNCIL VIEW ACRES(LOTS 21-44) Lot: 30
Project Description: Remove existing fire damaged roof structure and interior partition walls. 11/25/14,reprinted to correct project
description to 2,0 0 sg ft 2nd story addition.
Contractor: TOP DRAWER DEVELOPMENT Owner: DUNCAN,JOHN ARTHUR&JANICE LEE
25252 SW MCCONNELL RD 1001 NW LOVEJOY#812
SHERWOOD, OR 97140 PORTLAND, OR 97209
PHONE: 971-404-8798 PHONE:
FAX: 503-625-0821
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: Vg Permit Fee-Additions,Alterations, 11/06/2014 $1,637.47
Demolition
Occupancy Grp: B Occupancy Load: 86 12%State Surcharge-Building 11/06/2014 $196.50
Dwelling Units: 0 Plan Review 10/09/2014 $1,064.36
Stories: 0 Height: 0 ft Plan Review-Fire Life Safety 10/09/2014 $654.99
Bedrooms: 0 Bathrooms: 0 Info Process/Archiving-Lg$2.00(over 11/06/2014 $12.00
Value: $187,250 11x17)
Info Process/Archiving-Sm$0.50(up to 11/06/2014 $10.00
11x17)
Floor Areas: Metro Const.Excise Tax-Commercial 11/06/2014 $224.70
Use
Total Area: 2000 Tig-Tual School CET-Non Residential 11/12/2014 $1,160.00
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $4,960.02
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Parapet:
Fire Alarm: Protected Corridors:
Smoke Detectors: Manual Pull Stations:
Accessible Parking: 0
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTE e . - -•on law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-s s 0 through OAR• -001-0090. You may obtain a copy of the rules or direct questions to OUNC-b - 03.232.1987 or 1.0.332.2344.
/}
Issu=d By: �� �� 4 j PermitteeSignature: ����
Call 503.639.4175 by 7:00 a.m.for the next available inspectio •ate.
This permit card shall be kept in a conspicuous place on the job site un• ompletion of the project.
Approved plans are required on the job site at the time of each inspection.
CITY OF TIGARD BUILDING PERMIT
1111 .y A
s COMMUNITY DEVELOPMENT Permit#: BUP2014-00234
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/12/2014
T[G A R C) Parcel: 2S 113AB00800
Jurisdiction: Tigard
Site address: 15995 SW 74TH AVE 100
Project: Duncan-Dowdle Building Subdivision:COUNCIL VIEW ACRES(LOTS 21-44) Lot: 30
Project Description: Remove existing fire damaged roof structure and interior partition walls.
Contractor: TOP DRAWER DEVELOPMENT Owner: DUNCAN, JOHN ARTHUR&JANICE LEE
25252 SW MCCONNELL RD 1001 NW LOVEJOY#812
SHERWOOD, OR 97140 PORTLAND, OR 97209
PHONE: 971-404-8798 PHONE:
FAX: 503-625-0821
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 11/06/2014 $1,637.47
Demolition
Occupancy Grp: B Occupancy Load: 86 12%State Surcharge-Building 11/06/2014 $196.50
Dwelling Units: 0 Plan Review 10/09/2014 $1,064.36
Stories: 0 Height: 0 ft Plan Review-Fire Life Safety 10/09/2014 $654.99
Bedrooms: 0 Bathrooms: 0 Info Process/Archiving-Lg$2.00(over 11/06/2014 $12.00
Value: $187,250 11x17)
Info Process/Archiving-Sm$0.50(up to 11/06/2014 $10.00
11x17)
Floor Areas: Metro Const.Excise Tax-Commercial 11/06/2014 $224.70
Use
Total Area: 2000 Tig-Tual School CET-Non Residential 11/12/2014 $1,160.00
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $4,960.02
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Parapet:
Fire Alarm: Protected Corridors:
Smoke Detectors: Manual Pull Stations:
Accessible Parking: 0
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notificatio enter. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 5f+. 2.1987 or 1.800.332.2344.
Issued By: ` Permittee Signatur,. /' 1111110P —
all 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Commercial` FOR OFFICE USE ON1.1
"' r1�r'
City of Tigard •_ site
Permit No.: �` _r
MI
■ 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Revi "� /
Phone: 503.7182439 Fax: 503.598.1960 OCT Date/B : _S�=' � Other Permit` ;'
T I G A R D Inspection Line: 503.639.4175 I.a •-.. :y: B Page 2 for
Internet: www.tigard-or.gov ClYOF 1Ibik iL Notified/Method: � / , - F`, Supplemental Information
`/ 1 vrr�+ ,.._ t...,"I+h -,..,.A.,
TYPE OF W REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction ❑Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
®Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1-and 2-family dwelling ®Commercial/industrial Valuation: $
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:15995 SW 74th Ave New dwelling area: square feet
City/State/ZIP:Tigard OR 97124 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Ducan-Dowdle Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: I.ot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
to Fire Repair"Like-Like" Valuation: $$187,250.00
Wall Partitions,HVAC,Electrical,Plumbing Existing building area: square feet
tir Includes Structural New building area: square feet
J) 0 PROPERTY OWNER ❑ TENANT Number of stories: 2
r. Name:Ducan-Dowdle Type of construction: VB
Address:15995 SW 74th Ave Occupancy groups:
' City/State/ZIP:Tigard OR 97124 Existing: B/S
Phone:( ) Fax:( ) New: No Change
0 APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name:NW Precision Design (Please rejaro fee schedule)
Structural plan review fee(or deposit):
Contact name:Darin Bouska
FLS plan review fee(if applicable):
I Address:22605 SW Pinehurst Ct
Total fees due upon application:
City/State/ZIP:Sherwood OR 97140
.3-• Amount received:
Phone:(503)680-6444 Fax::( )
E-mail:Darin @NW-Precision.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
S CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System.
Business name:Top Drawer Development Submit two(2)sets of roof plan with connection details
(-1.: and fire department access,along with the 2010 Oregon
Address:25252 McConnell Rd Solar Installation Specialty Code checklist.
City/State/ZIP:Sherwood OR 97140 Permit fee(includes plan review
$180.00
\ and administrative fees):
Phone:(971)404-8799 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lie.:133%2
Total fee due upon application: $201.60
Authorized signat j This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Darin Bouska Date: 10/8/14 * Fee methodology set by Tri-County Building Industry
Service Board.
1:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(I 1/02/COM/WEB)
1
City of Tigard
'PI COMMUNITY DEVELOPMENT DEPARTMENT
s
TI G u 1, Building Permit Review — Commercial - No Land Use
1
Building Permit #: /JiLP p�{� c/ (1oa3 ti
Site Address: / S- q/5- 5e- --) 7 911 Suite/Bldg#:
Project Name: DiAt3C4A) ---DpuS Dc 9;jL
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review a
Proposal: 2-. '
C)' A- 4 i7`tJMJ -z., 3, (mod 5/-7
Existing Business Activity:
Proposed Business Activity:
Verify site address/suite # exists and active in permit system.
❑ Zoning: I—P
Permitted Use: .2'Yes ❑ No ❑ Spec Space
❑ Confirm no lat_yibisg rem ed.
Notes: m/rl v lJD I` re- U ll 0 )09,0\431K6-'
P '#31 oo,( N14l 444„
-..,.....=:___....i._:74: G......L4.(2 1t_,- �. _ ...A. - ._, _/ ,I/�-■■•, •
Approved by Planning: j Date: /1 -/e.'/y
Revisions (after Building Submittal only) ki vi ewer Date
Revision 1: ❑ Approved Not Approved Q�J //—GIV
Revision 2: Zc Approved ❑ Not Approved II -/2- /
Revision 3: Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: 'C 7�S!
Site Plans: # l I
Building Plans: #
Building Permit#: En r building pe above.•Workflow Routing: S'IrP Permit Coordinator ) Building
Workflow Sign-off: S• gfor Planning(include notes from planning review)
Route Application Documents: Building original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
P - /i .- � ... 11.
By Permit Technician: ,0a t Date: i(6 y
T
I:\Building\Forms\BIdgPermitRvw_COM_NoLandUse_071514.docx r 4
Permit Coordinator Review
❑ Conditions Met-Prior to Issuance of Building Permit
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant:
Revision Notice 3: Date Sent to Applicant:
•
OK to Issue Permit
/ /
Approved by Permit Coordinator: `� /
� Date:
I jfluildingl orms`,B1dgPermitRvw_COM_NoLandUse_071514.docx
FOR OFFICE USE ONLY-SITE ADDRESS:
This form is recognized by most building departments in the Tri-County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
�! ■ Transmittal Letter
I ;, ,,\i. I, 13125 Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: DATE R GE1VEP
DEPT: BUILDING DIVISION
aV252014
çFROM: (Y%A2- _ (,� �;1TYUFTIGARU
BUILDING DIVISION
COMPANY:-K- ,.(7 m �,..,ed -�- v 4-neQ,., t---,PHONE: - " -1 \i,
RE: /"5-99S 7 '�-Ort �0ao 1z{-CO 3q
(Site Address) (Permit Number)
b � `
eiiN) 1o� ` �
• 3 ,
(Project name or subdivi 'inn. e and ,�$ mbe,
ATTACHED ARE THE FOL OWIN,,,,i _ :
Copies: Description: 1;1 Copies: Description:
Additional set(s)o I pl s. 1ii Revisions:
Cross section(s) an' details ' Wall bracing and/or lateral analysis.
Floor/roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other(explain):
REMARKS: \}i , 4S
/'rte.- " c.t U / ! `-, i:- -
FO OFFICE USE ONLY t�
Routed to Permi echn�ic,i�an: Date: (j 24, 4 ~ ,. Initials:
Fees Due: ❑ es L\d'No Fee Description: Amount Due:
$
$
$
$
Special
Instructions:
Reprint Permit(per PE): ❑ Yes El No ❑ Done
Applicant Notified: Date: Initials:
I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012
FOR OFFICE USE ONLY—SITE ADDRESS:
This form is recognized by most building departments in the Tri-County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
ill Transmittal Letter
I !(.;;\lin 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.ti and-or. ov
TO: IS, 1>ikt3 RECEA iECEIVED:
DEPT: BUILDING DIVISION �/ 'A ,4
NOV 1 V .014
111 ;It j 1(,ARD
FROM: p,,-,� V-t,�,(,;� TY DN :ILDING DIVISION
13
COMPANY: IE, "i� ;_.>a w -- -41... -0 ev c�e = - CD.
PHONE: e, 91 1- 40 4i - (..& ' 'A u .
RE: I;9Gi s S ,%.t`i, 7 ' A:)%-"' L . -U j' 2c:IA - Gv z
(Site Address) --} ' (Permit Number)
~ y C?a-� ----0. ,V�‘..i_?..--
�``�.:"` J�+4'
( roject name or sue I ,ision name and lot numb. )
ATTACHED ARE THE . I L OWING ITEM
Copies: Description: Copies: Description:
Additional -t(s) of plans. Revisions:
Cross section(s)and details. Wall bracing and/or lateral analysis.
Floor/roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other(explain): (Zz if. t t 'I; Zv, ik l..I S -- , Wt_c, ► Fie-A-frt.a..) A-$ 2
REMARKS: 245.0 2.. ii ii 12 c l i e.f (*Iv v\-6,0,,A- 1 w Ate- S cam'ti l ut i P4.4. 1
't2, u 2- 11 I i i ►4-( —b-r, Ce vk' A cj. 2
•
€ Q.� A 6) 1 - 2'JS
OR, F1ICE USE ONLY
Routed to Permit Tec ic' : Date: 11 ( I Initials: C4-:„.
Fees Due: ❑ Yes OE No Fee Descript on: Amount Due
$
$
$
$
Special
Instructions:
Reprint Permit(per PE): ❑ Yes KO o : ❑ Done
Applicant Notified: Date: II ly(fci A,,A. ;.t,/ fl/Ge, k Initials: ��j,,
I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012
,
n CITY OF TIGARD BUILDING PERMIT
1111 e - COMMUNITY DEVELOPMENT Permit#: BUP2015-00234
T!GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/04/2015
Parcel: 2S112DA00800
Jurisdiction: TIGARD
Site address: 15055 SW SEQUOIA PKWY 140
Project: Spec Space Subdivision: PACIFIC CORPORATE CENTER Lot: 2
Project Description: Demolition of existing offices,build wall.
Contractor: PACIFIC REALTY ASSOCIATES LP Owner: PACIFIC REALTY ASSOCIATES LP
15350 SW SEQUOIA PKWY#300 ATTN: N PIVEN
PORTLAND,OR 97224 15350 SW SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 503-624-6300 PHONE: 503-624-6300
FAX: 503-624-7755
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIB DC Provision Review,COM TI-Ping 08/04/2015 $88.00
Occupancy Grp: B Occupancy Load: 79 Permit Fee-Additions,Alterations, 08/04/2015 $362.69
Demolition
Dwelling Units: 0 12%State Surcharge-Building 08/04/2015 $43.52
Stories: 1 Height: 0 ft Plan Review 08/04/2015 $235.75
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 08/04/2015 $145.08
Value: $18,896 Info Process/Archiving-Lg$2.00(over 08/04/2015 $4.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $879.04
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Yes Parapet:
Fire Alarm: Protected Corridors:
Smoke Detectors: Manual Pull Stations:
Accessible Parking: 0
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTE •.: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001 010 through:•R 952-16 0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issu d By: •__ Permittee Signature/l
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Applicati RL CEIVEP
Commercial FOR OFFICE USE ONLY c
City of Tigard AUG 4 2015 Date/B : ' Q I c5 '. Permit No.: aO1`) #70
III
r 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review'��
Phone: 503.718.2439 Fax: 503 Qb?OF-TIGARD 1, I` 1 DateB : �� 'r Other Permit:
Inspection Line: 503.639.4175 1 I VF""TiVAkV Date Read Juris. ® See Page 2 for
TIGARD Internet: www.tigard-or.gov Bull TING DIVISION Notified/Method: Supplemental Information
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction ❑Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
®Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1-and 2-family dwelling ®Commercial/industrial Valuation: $
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑Other:
Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 15055 SW Sequoia Pkwy,Suite 140 New dwelling area: square feet
City/State/ZIP:Portland,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: 140 Project name:140 Spec Office Covered porch area: square feet
Cross street/directions to job site:Carman Dr.and Sequoia Pkwy Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Lot no.: Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Demolition of existing offices,build wall Valuation: $518,896.00
Existing building area: 8,632 square feet
New building area: 8,632 square feet
® PROPERTY OWNER ❑ TENANT Number of stories: I
Name:PacTrust Type of construction: H-B
Address: 15350 SW Sequoia Parkway#300 Occupancy groups:
City/State/ZIP:Portland,OR 97224 Existing: B
Phone:(503)624-6300 Fax:(503)624-7755 New: B
® APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
Business name:PacTrust (Please refer to fee schedule)
Structural plan review fee(or deposit):
Contact name:Leslie Louis
FLS plan review fee(if applicable):
Address: 15350 SW Sequoia Parkway#300
City/State/ZIP:97224 Total fees due upon application:
Amount received:
Phone:(503)624-6300 Fax::(503)624-7755 .
E-mail:lesliel @pactrust.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System.
Business name:PacTrust Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: 15350 SW Sequoia Parkway#300 Solar Installation Specialty Code checkl j
City/State/ZIP:Portland,OR 97224 Permit fe includes plan re ' $180.00
and a...inist . ''e fees):
Phone:(503)624-6300 Fax:(503)624-7755 State surcharge 'o o .;-.lit fee): $21.60
CCB lie.: 153913 1 .G Total.'-e due upon application: 01.60
Authorized signature: �'- `^� This permit application expires if a permit is not obtaine
within 180 days after it has been accepted as complete.
Print name: L, i 11 e■ LOUIS Date J 41 1 ,lr * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
City of Tigard
74 COMMUNITY DEVELOPMENT DEPARTMENT
I
T I G A R D Building Permit Review — Commercial - No Land Use
Building Permit #: S--(og 3
g Jam.�a�l y
Site Address: /cz s „SA) S imig Aett>. Suite/Bldg#: /i()
Project Name: AX'72{-01.—
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: Z , //hYn'r— GP'c
Existing Business Activity: CA re
Prop sed Business Activity: g 2 ' ,,,,ore
Verify site address/suite# exists and active in permit syste
'f: er Terrace Neighborhood: ❑ Yes No
17 oning: /—P
V emitted Use: V Yes❑ No 0 Spec Space
cinfirm no land use required.
Business License:
Exists: Yes ❑ No,applicant notified to obtain business license
Notes:
Approved by Planning: .., T Date: e -ts--T
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: (.
Site Plans: # e
Building Plans: #
Building Permit#: -a-Enter building permit#abo .
Workflow Routing: 2'Planning ❑ Permi ordinator .2' 3uilding
Workflow Sign-off: 'Sign-off for Planning include notes from planning review)
Route Application Documents: 9Yguilding. original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes: C217—e—C--
By Permit Technician: Date: � y /1
[.•\Building\Forms\BldgPennitRvw_COM_NoLandUse_070915.docx
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of b 'ding permit
❑ Approved, NOT Released: Date:
Notes:
Revisions (after Building Submittal o
Revision Notice 1: Date t to Applicant:
•
Revision Notice 2: D. - Sent to Applicant:
Revision Notice 3: i ate Sent to Applicant:
❑ SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes ❑ N/A
Tigard Trans SDC: ❑ Yes ❑ N/A
Parks SDC: ❑ Yes ❑ N/A
❑ OK to Issue P emit
Approved by Permit Coordinator: Date:
1:\Building\Fortes\B1dgPennitRvw_COM_NoLandUse_070915.docx
111111 ' Building Division
Over-The-Counter (OTC) Building Permit
T I GA R D Check List
Project Description: T(
•
N SPECIFIC INFORMATION
GENERAL INFORMATION
Class of Work*: (� Occupancy Group: Type of Construction: ' .4._
Type of Use**: �� Occupancy Load: Oregon Specialty Code:
SPECIFICS
Number of Stories: I Building Height: Mixed Use:
Number of Dw Units: Number of Bathrooms: Number of Bedrooms:
BUILDING SQ FT-SCHOOL CET OTHER SQUARE FOOTAGES
Story Square Footage: Accessory Structure: Covered Porch:
Basement: Garage: Deck:
Total Square Footage: Carport: Mezzanine:
SETBACKS
Sideyard Setback—Left Sideyard Setback—Front
Sideyard Setback—Right Sideyard Setback—Back
CONSTRUCTION
Exterior Walls: Openings Protected: Firewall Separation:
N: S: N: S: Occupancy Separation:
E: W: E: W: Access.Parking Spaces:
REQUIRED ITEMS
Fire Sprinklers: 11-9e- Fire Alarms: Smoke Detectors:
Sprinkler Type: Alarm Type: Protected Corridors:
Standpipe Required: Pull Stations Required: Parapet:
Hazard Group: Battery Calcs Provided:
Density: _ Cut Sheets Provided:
Design Area:
K Factor:
Total Project Valuation: $ tel3/ ::,..CX , FEES DUE
$ ali.0 DC Prov Rvw,COM TI—Ping
$ ,t/`► ` Permit Fee—Add,Alt,Demo
DC Provision Review Fee for COM TI(effective 7/1/2015) $ ` ,5 2 12%State Surcharge
Project Valuation Planning $ . ...7`'3Plan Review,Structural
Up to$4,999 $0.00 $ .if,'" Plan Review,Fire Life Safety
$5,000-$74,999 $88.00 $ . ,ea Info Proc/Arch,Lg(over 11x17$2.00)
$75,000-$149,999 $220.00 $ Info Proc/Arch,Sm(up to 11x17$0.50)
$150,000 and over $351.00 $ Metro Construction Excise Tax
$ School Construction Excise Tax
$ Hourly Rate Fee
$ Hourly Rate State Surcharge
, $ Misc.Admin Fee
,$ . Other:
// $ er:
O er:
Building Staff: / $ Oth r:
Date/Time: $ ', CH4—T AL FEES DUE
■
'TYPE OF USE: COM=commercial;CMS=commercial manufactiI{ed structure.
**CLASS OF WORK ACS=accessory;ADD=addition;ADU=accessory dwelling unit;ALT alteration;DEM=demo;NEW=new;
O'IR=other(use for fences,decks,retaining walls,signs,awnings or canopie,$). _
I:\Building\Forms\OTC_BU P_070115.docx